NJ CALA Exam Study Guide.
Aging in Place - answer✔✔A process whereby individuals remain in their living environment
despite the physical and/mental decline and growing needs for supportive services that may
occur in the course of aging.
ADLs (Activity of Daily Living) - answer✔✔The functions or tasks for self-care, which are
performed either independently or with supervision or assistance, such as: dressing, bathing,
toileting, transfer, locomotion, bed mobility, and eating.
Assisted Living - answer✔✔A coordinated array of supportive personal and health services 24
hours per day, to residents who have been assessed to need these services including persons who
require nursing home level care. It promotes resident self direction and participation in decisions
that emphasize independence, individuality, privacy, dignity, and homelike surroundings.
Bounded Choice - answer✔✔Limits places on a resident's choice as a result of an assessment, in
accordance with N.J.A.C. 8:36-5.18, which indicates that such resident's choices or preference
place the resident or others at a risk of harm or lead to consequences which violate the norms of
the facility or program or the rights of others.
CPCH (Comprehensive Personal Care Home) - answer✔✔A facility which is licensed by the
Department of Health and Senior Services to provide room and board and to assure that assisted
living services are available when needed, to four or more adults unrelated to the proprietor.
Residential units in this type of facility have no more than two residents and have a lockable
door on the unit entrance.
CCRC (Continuing Care Retirement Community) - answer✔✔A facility that has received a
certificate of authority pursuant to the _________ and Financial Disclosure Act, N.J.S.A.
52:27D-300 et seq.
Customized Resident Medication Package - answer✔✔A unit-of-use package prepared by a
pharmacist for a specific resident comprising a series of containers and containing two or more
prescribed sold oral dosage forms, and so designed or labeled as to indicate the day and time, or
period of time, that the contents within each container are to be taken.
Guardian - answer✔✔A person appointed by a court of competent jurisdiction to handle the
affairs and protect the rights of any resident of the facility who has been declared a mental
incompetent. This does not include a person affiliated with the facility, its operations or
personnel, unless so ordered by the court.
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
,Health Care Service - answer✔✔Any service provided to a resident of an assisted living or
comprehensive personal care home that is ordered by a physician and required to be provided or
delegated by a licensed, registered or certified health care professional.
Hospice - answer✔✔A program of palliative and supportive services provided to terminally ill
persons and their families in the form of physical, psychological, social, and spiritual care.
Managed Risk - answer✔✔The process of balancing resident choice and independence with the
health and safety of the resident and other persons in the facility or program. If a resident's
preference or decision places the resident or others at risk and is likely to lead to adverse
consequences, such risks or consequences are discussed with the resident, and, if the resident
agrees, a resident representative, and a formal plan to avoid or reduce negative or adverse
outcomes is negotiated, in accordance with the provisions of N.J.A.C. 8:36-5.18.
Manage Risk Agreement - answer✔✔The written formal plan developed in consideration of
shared responsibility, bounded choice and assisted living values and negotiated between the
resident and the facility or program to avoid or reduce the risk of adverse outcomes which may
occur in an assisted living environment.
Medication Administration - answer✔✔A procedure in which a prescribed medication or
biological is given to a resident by an authorized individual in accordance with all laws and
regulations governing such procedures.
Process of Medication Administration - answer✔✔1.) Removing an individual dose from a
previously dispensed, properly labeled container (including a unit dose or unit-of-use container).
2.) Verifying it with the prescriber's orders.
3.) Giving the individual dose to the resident.
4.) Seeing that the resident takes it (if oral).
5.) Recording the required information, including but not limited to the method of
administration, time administered, initials of individuals who administered the medication, and
effect of the medication when "PRN" or as-needed medications are administered.
Dignity - answer✔✔The self-worth of a resident.
Independence - answer✔✔The support and enhancement of resident capabilities and facilitation
of resident abilities so that the resident's preferences and choices may be implemented within a
barrier-free environment.
Individuality - answer✔✔Each resident's unique needs, capabilities, personalities, backgrounds
and preferences.
MAR (Medication Administration Record) - answer✔✔An individual resident record that
contains, but is not limited to: resident name, date of birth, diagnosis(es), age, physician, name
and medication strength, dosage form, route of administration, frequency, date and time of
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
,administration, initials of individual administering the medication, a section containing the full
signature and title of each individual who initials it, date medication ordered, stop date if
appliacable, allergies, and all other professionally acceptable information that is appropriate.
30-hour - answer✔✔A MATCEP or Medication Aide Training Competency and Evaluation
Program is a department approved minimum ____________ training course conducted by a
Department approved registered professional nurse and registered pharmacist, to instruct CNA,
CHHA, or PCAs, in the administration of medications to residents, within assisted living
residences, comprehensive personal care homes and assisted living programs.
Nursing Home-Level Care - answer✔✔An individual requires this as defined by N.J.A.C. 8:85-
2.1. It is provided to individuals who have chronic medical condition(s) resulting in moderate to
severe impairments in physical, behavioral, cognitive, and/or psychosocial functioning. It is
determined by a registered professional nurse and identified in a plan of care.
Pain Management - answer✔✔In accordance with N.J.A.C. 8:43E-6, means the assessment of
pain and, if appropriate, treatment in order to assure the needs of patients or residents of health
care facilities who experience problems with pain are met. Treatment of pain may include the use
of medication or application of other modalities and medical devices such as, but not limited to,
heat or cold, massage, transcutaneous electrical nerve stimulation (TENS), acupuncture, and
neurolytic techniques such as radiofrequency coagulation and cryotherapy.
Privacy - answer✔✔A resident's degree of control over a specific physical area and/or time;
levels of intimacy with family and others; and communication and contact with others outside
the facility or program environment.
Shared Responsibility - answer✔✔Residents (and if the resident wishes the resident's family)
and providers of assisted living services share responsibility for planning and decision making
affecting residents. To participate fully in this, residents shaw be provided with clear and
understandable information about the possible consequences of their decision-making, in
accordance with the provisions of N.J.A.C. 8:35-5.18(a)2.
Total Bed Complement - answer✔✔Another term for resident census.
Unit Dose Drug Distribution System - answer✔✔A system in which medications are delivered to
the residents areas in single unit packaging, and which meets the following criteria:
1.) Each medication shall be individually wrapped and labeled with the generic or trade (brand)
name and strength of medication, lot number or reference code, expiration date, and
manufacturer's name, and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication administration,
and the system shall include provisions for noting additional information, including but no
limited to, special times or routes of administration and storage conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by reference,
as amended and supplemented, and N.J.A.C. 8:39.
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
, Unit-of-Use - answer✔✔A system of in which medications are delivered to the resident areas
either in single unity packaging, bingo or punch cards, blister or strip packs, or other system
where each medication is physically separate. Individually labeled unit dose medications may be
combined in a "bingo or punch card" to create a unit-of-dose drug distribution system.
20 percent - answer✔✔An assisted living facility shall indicate within 36 months of after
licensure, at least ______________ of the facility's residents shall be individuals with nursing
home-level care. This percentage shall be computed based upon the number of residents days per
calendar year and may include direct admissions as well as maintained residents with nursing
home-level of care needs.
Biennially - answer✔✔Each assisted living, comprehensive personal care home, and assisted
living program will be assessed and inspected __________________.
Survey Visits - answer✔✔This may be made to a facility at any time by authorized staff of the
Department . Such may include, but not limited to, the review of all facility documents and
resident records and conferences with residents.
Facility Licensure - answer✔✔A licensure shall be granted for a period of one year or less as
determined by the Department.
Facility Licensure Renewal - answer✔✔The license, unless suspended or revoked, shall be
renewed annually on the original license date, or within 30 days thereafter as of the original
licensure date. The facility will receive a request for renewal fee 30 days prior to the expiration
of the license. A renewal license will not be issued unless the licensure fee is received by the
Department.
Surrender of Facility License - answer✔✔The facility shall notify each resident, the resident's
physician, and any guarantors of payment at least 30 days prior to the voluntary surrender of a
license, or as directed under an order of revocation, refusal to renew, or suspension of license. In
such cases, the license shall be returned to the Long-Term Care Licensing Program of the
Department within 7 working days after the voluntary surrender, revocation, non-renewal, or
suspension of license.
CALA Qualifications - answer✔✔1.) 21 years or older; 2.) Possess a high school diploma or
equivalent; 3.) hold a CALA or LNHA license.
2 Years - answer✔✔An applicant for certification as an assisted living administrator shall sit for
the Assisted Living Competency Examination within ____________ of successful completion of
the assisted living training course.
3 Years - answer✔✔An assisted living administrator certification shall be valid for a period of
____________ from date of issue.
EXAM STUDY MATERIALS July 26, 2024 9:30 AM
